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ekg diagnosis clinical stemi differential dewinter em interpretation occlusion pericarditis acutepe checklist criteria digitalis equivalents lad syncope syndrome acs acute
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... #ECG #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Progression of EKG changes in ACS • Hyperacute T waves • ST depression and T waves
Progression of EKG ... • ST depression ... • ST elevation ... #ACS #ECG #electrocardiogram ... #Timeline #cardiology
De Winter's T Waves Concerning for proximal LAD occlusion (Present in 2% of patients) • Upsloping ST-Depression
V1-V4 without STE ... leads V1-V4 • STE ... #DeWinters #TWaves ... #EKG #ECG #diagnosis ... #cardiology #electrocardiogram
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
on EKG - Anterior ... STEMI - look for ST ... - Upsloping ST ... #EKG #ECG #Electrocardiogram ... #diagnosis #cardiology
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
without meeting ST ... • Hyperacute T Waves ... equivalent #diagnosis #cardiology ... #electrocardiogram ... #ecg #ekg
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... #Ischemia #ECG ... #electrocardiogram ... #cardiology #STEMI
Left Main Coronary Artery Occlusion on ECG - aVR ST segment elevation > 1 mm - aVR
Artery Occlusion on ECG ... > 1 mm - aVR ST ... Occlusion #Artery #ECG ... #Electrocardiogram ... #Cardiology #Criteria
ECG changes in Pulmonary Embolism - Sinus tachycardia - Complete or incomplete RBBB -
ECG changes in Pulmonary ... - Dominant R wave ... pulmonale) - SI ... AcutePE #HighRisk #Electrocardiogram ... S1Q3T3 #Predictive #ECG
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Discordance" = ST ... V1-V3 c) STE ... Diagnosis #Checklist #EKG ... #electrocardiogram ... #ecg #cardiology
Benign Early Repolarization (BER) on EKG • Widespread concave STE most prominent in mid-to-left precordium (V2-V5)
Repolarization (BER) on EKG ... Widespread concave STE ... : T-wave height ... #ECG #diagnosis ... #cardiology #electrocardiogram
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